| Doctor Name: | MR. VICENTE YANEZ |
| NPI Number: | 1023347291 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SW 4132 |
| License Number: | SW 4132 |
| Business Practice Address: | 814 Ponce De Leon Blvd Suite # 418 Coral Gables, FL - 331343049 |
| Business Phone Number: | 3054691648 |
| Business Fax Number: | 3054421018 |
| Mailing Address: | 814 Ponce De Leon Blvd, Suite # 418 CORAL GABLES |
| State: | FL |
| Postal Code: | 331343049 |
| Phone Number: | 3054691648 |
| Fax Number: | 3054421018 |
| NPI Enumeration Date: | 12/16/2009 |
| NPI Last Update Date: | 12/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW 4132 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |